HomeMy WebLinkAboutPermit Mechanical 1984-03-07fi\,
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FOR OFE']CE USE ONLYLC
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Arrtfrorization fon Applica
Permi-t #
Two Copies of Plans
Three Copies of Plot Plans
Mech,/Plunbing Checklist
Lega1 Interest Document
PIan Check Info Sheet
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s--rBDrvrsroN,/pARTrrroN (if appricabLl I.OTIPARCEL BI.OCK
PROPOSED USE OF PROPERTY
&eside-ntiaI ! rndustrial
! r,ruri"! coryrcia I
DECI,ARED S VALUE
WATER ] e5pposeaj{xistingS NAME AND TEIJEPHONE NUMBER%Zgr9- TELEPFoNE NUMBER7*?sr
, and do hereby certify that arr infomtion hereon is true and correct, and that r
ase
DATE
. p.op.rty,figrn.t
perfomed/shall bepertaining
ther
I HAVE CAREFUTLY EXAMINED THE CO4PLETED APPLICATION FOR PERMIT
the folLowing legal interest in the of record;contract purchaseri authorized agent with evidence of authori ly attachedI f:lther certj.fy that any and alt work done in accordance with the Ordj.nances of Lane Couty and the I€ws of the State of Oregonto the work described herein, ild that NO OCCUPANCy wiu be made of ily structure without the pemission of the Building Division. f fur-certify that registration with the Builderl s Board is in full force and e ffect as reguired by ORS 7O1.O55, that if exempt the basis for exemptionis noted hereon, and that only subcontractors md employees who are in conpliance wi.th oRS 7OI.OS5 will be used on this ploject- I IiAVE nEAD ANDCHECK.ED THIS APPLICATION
I nr,ooopr,aru: rn frood hazard arear l-l llo [-l yes, sEE ATTACHED SHEET.
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Installation Record rssued? f v"" fl u"
Maximun Depth
of Trenches
Date:
Date:
4
#
I
tr
tr PLANNIN ZONING
SANITATfON: s. I B. P. #
TION:
COM}IENTS:
parcel #
interior
READ THIS SECTION CAREFULLY
Zone
ORI HAS BEEN BASED ON THE POLLOWTNG CONDITIONS:
Date:
Date:
Gallon
Tank
Lineal Feet
of Drainfielal
Installation
Specifications:
Parcel Size
rear
Partition #-_
"", "j,d.
Install Coavector fireplace insert into
rYPe GrouD
Minimum Setbacks, CL, frorrt
u=e fireplace insert installation
existing MASONRY fireplace in
TOTAL VALUATION S CONSTRUCTION AUTHORIZED BY THIS PERMIT
Sq. Ft
Fixeil Fee,/Unit CostDescription f'loodplain Fee
Subsurface Fees
Building ['ee
I{echlPImbg Fee
Prans Check pee
State Surcharge
DEQ Surcharge
TOTAL FEE $$
s
s
s
$
s
s
s
{/.
PERMIT APPROVED SY BUTI,OTIIG OFF ICIAT/DESIGNEE r ORS 5
LANE COUNW DEPARTMENTOF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REV-ERSE FOR INSPECTION INFORMATION
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Y
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OT THIS PERMIT, CITATION UNEER PROVISIONS OF I,ANE COUNTYIS INFRACTTON ORDINANCE, AND,/OR OTHER
REMEDIES ALLOWED BY LAW
WHEN READY FOR TNSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE POR TNSPEC-
Have the fo Ilowing information ready
be ready, your name and phone number,
BUILDING DIVISION
REQUIRED INSPECTIONS:
L poundation Inspection: To be made after trenches are excavated and forms erected and when a1l
matdETs for ifiE-foundation are delj-vered on the job. Where concrete from a central mixing
plant (commonly termed "transit mj-xed") is to be used, materials need not be on the job.
2. Concrete SIab or Under-Floor ction: To be made after all in-s1ab or under-floor building
@ttof inspection, when it will
qu].pmen
before
: permit number, job address, tYPe
and any special directions to site.
t, conduit,ng acce ssories, and other ancillary equipment items are in
or floor sheathing installed, including the subfloor-place but
From
any concrete s poured
3 Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
6r""I"9 are-fn-pTace ila-eTl p-rpes, fj.replaces, chimneys, and vents are complete and all rough
electrical ana ptumUing are appioved. AlI walI insulation and vapor barrier are in place.
Lath and,/or cypsum Board Inspection: To be made after aII lathing and gypsum board, interior
;#"t"r;-".iF" i" pfa-".-Eut-SeTore any plastering is applied and before gyPsum board joints
and fasteners are taped and finished.
Final Inspection: To be made after the building is complete and before occupancy-
1. permits shalt be effective for one year from the date of issuance.
z. upon compreting the construction for which a permit has been issued, the permit horder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Depart$ent shil1 inspect thE construction to determine if it
complies with the rules contained in this division. rf the construction does comply with such.
rules, the Department shaIl issue a certificate of satisfactory completion to the permitiholder'
rf the construction does not ao.pfy ritf, =rr"fr rules, the Department-shall notify the permit
holder and shall require satisfaciory completion before isluing the certificate' Pailure to
meet the requiremenis for satisfacto.| .o*pr"tion within a reasonable time constitutes a vio-
Iation of ORS 454.605 to 454.745 and this rule'
4
5
APPROVAL REQUIRED. No work shall be done on any part of the building or Structure beyond the point
-j.ndicated in each successive j-nspection without first obtaining the ipproval of the building official'
s""n .ppr"val shall be given on1! after an inspection shall have been made of each successive step
i" tf'r.'Lonstruction as indicated by each of the inspections requireil'
NOTE: AII building permits require inspections for the work authorized, such as but not limited to:
A. Block Walf: To be made after reinforcing is in place, but before any grout j-s.poured' This
frp""h"" is required for each bond beam pour. There wiII be no approval until the plumbing
and electrical inspections have been made and approved'
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
ffifata. rnstallation shalI be in accordance with an appioved, nationally recognized testing
ug".ray and the manufacturerrs installation instructions'
C. I,1obile Home: An inspection is required after the mobile home is connected to an approved
sewer or septic systLm for setbacli requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recommended bY the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter-
3. Mobile home tiedowns, when required, and skirting shal1 be installed and ready for inspec-
tion within at least.30 days ift"r o""trpancy. fiedowns and skirting shall be installed
per enclosure.
D. Swimming pool: Below grade when steel is in place and before concrete is poured. Above grade
wEen pool-fs installed.
APPROVED PLANS MUST BE OLI THE JOB SITE AT ALL TIMES DURING WORKING HOURS' THIS PERMIT WILL EXPIRE
rE woRK DOES NOT BEGrN WrrHrN 180 DAYS, OR rF WORK rS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS-
SUSPENS]ON OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ]SSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
]NFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQUJRED TNSPECTIONS WILL DO SO AT THEIR OWN RISK'
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
Setbacks - Subsurfq.ce Sewage Disposal
Septic Tank Drainfield
lnterior proPertY lines
Edge of road right-of-waY
Building foundation
WeIIs, other water sources
r0t
10 t
5t
50'
10t
r0!
10!
100 r
c t+-zs
Lane
19-Jan-1990
JERRY TANTON
OR OCCUPANT
3450 YOLANDA AVENUE
SPRTNGFIELD, OR 97 477-L856
SUBJEcT: WOOD BURNING APPLIANCE PERMIT APPLICATION No. BP 547-84
your permit application for a wood burning appliance has expired. Each
permil issued by the building official, under the provisions of the-auitding Code (Oregon State Mechanical Specialty Code) shall expire by
Iimitation and become null and void if the work authorized by such
permit is not commenced within 1-80 days from the date of such permit,
or if the work authorized by such permit is suspended or abandoned at
any time after the work is commenced for a period of L80 days. No
permit shall be extended more than once. [Sec. 303 (d) OSMC]
Section 305(d) OSMC states: 'rIt shaII be the duty of lhe person doing
the work authorized by a perrnit to notify the building official that
such work is ready for inspection.rt
In addition, Section 303(c) OSMC, says: I'The issuance of a permit or
approval of plans, specifications and computations shall not be
construed to be a permit for, or an approval of, any violation of any
of the provisions of this code or of other ordinance of the
jurisdiction. rl
Recently, dD agreement was made between Lane County and the cities of
Eugene and Springfield resulting in the creation of an 'Urbanrrinsition Aiea, where the respective city codes apply as well as the
State of Oregon Building Code. Since the cities and Lane County utilize
the same State of Oregon Uechanical Specialty Code, the section
references Iisted above apply in al1 jurisdictions-
If your address is within a city Urban Transition Area or within the
city limitsr you must make application for any anticipated permit
activity for I wood burning appli-ance (or other activity) with your
city'building department' .
Thank you for your cooperation. If you have questions or feel you need
clarification, please feel free to caII me at 687-4466-
Roger McGuckin
Building Official, Lane CountY
LAND MANAGEMENT DtV./pUELtC WORKS DEPT. / t2s EAST 8TH AVENUE / EUGENE, OREGON 97401 I (s03) 687-4061 I FAX # (503) 687-3947
U6,PL
LANE COUNTY INSPECTION RECORD
TRS#DATE ISSUED:PERMIT#
SE
C1
T BACK REQUI
FRONT
REM
C
ENTS
L SIDE I NTERI OR REAR
#P LUMBING FiXTURES
YPE
5L
Approved Da te
Approved Date
Comection Date
Correcti on Date
go
P
I nsp ector
Inspe ctor
U-NDERSLAS PLBG. fIApproved Date
RFLR PLBG. X I NSPECTI ON/UNDE
Correcti on Date I nsp ector
STATIiISPECTIONApproved Date Correcti on Date Ins pe ctor
RoUGH PLUMBING (TOP 0UT)I NSPECTION
Approved Date Correction IDate Ins pe ctor
FRAIITING INSPECTION
Approved-Date Correcti on Date Ins pe ctor
ROUGtr-M-ECHANI CALApproved Date Comection_l Date I nspector
INSULATION / VAPOR BARRI ER INSPECTION
Approved Date /Correction Date I nspe ctor
MM-7-GYPSUM BOARD INSPECTI
Approved-Da te Correction lDate
ON
Inspe ctor
F-TNAT-MEEHANICAL t]STOVE N
roved Date
FE
Approved IDate
Correction Date
Correcti on Date
I nspe ctor
I nspector
FTNAL INSPECTION BUApproved Date Correction Da te
ING f] /MOBIL E HOME T lAG PLACEMENT fJ
I nsp
N174-197
Insp.roved_Date
ector
Ins p.0Approved Date
--
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t,,ILL BE REJECTED!
lane county
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-o3 ffiffiffi
2 PROPERTY ADDRESS
( rF DrFFERrrur rno
3 ruae a PAFIeEL NuMBEFI
( REQUrRED INF0RHATI0N)
(from tax maps in Department of Assessment and Taxationor from tax statement)
r-o[NSE-rP.RnNGE Sm]Tox m ZON I NG
MUINSE.IP RANGE SMTTON m ZONING
TOINSHTP RA-N-GE. sEenoN
TOTAL CONTIGUOUS PROPERTY IN SAME OI.INERSHIP:
m ZON I NG
ACRES
4 SUBDIVISI0N (if appticabte)LOT BLOCK
5 REQUEST (state exacily what you p'lan to do) ?r,,*_\ '.._,rr_ O_ tJOOFf
-T--\ f\
6 DIRECTiONS TO SITE:
d
** FOR S E ONLY **
ZONE/LAND US E:
NUMBER
DATE
J7(/,
-.1BY: .---- DATE: TIME IN: OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-4061
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CONNEC'I'OIt$:
HECHANICAL FEE
STA E SURC}{AEGE.
I3I.AN .CHECK
FEE
F'CK
1
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ADDTT
ACTION DHSCRIFTION SQ F UNIT fiO.S VALL'ATION FEE DAYS
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